What does transilluminated powered phlebectomy (TIPP) involve?

Two small incisions are made in the leg. In one of these incisions, a special light (an endoscopic transilluminator) is placed underneath your skin so the surgeon can see which veins need to be removed.

A special suction device with blades is then inserted in the second incision and used to cut and remove the veins.

A transilluminated powered phlebectomy can be carried out under local or general anesthetic so you don’t feel anything. If it’s performed under local anesthetic, you might also be given a light sedative.

The procedure is quicker than a standard phlebectomy (about 30 minutes) but as it’s relatively new, little is known of its long-term effects.

How long is the recovery period?

You might experience soreness, bleeding and bruising afterwards. Over-the-counter painkillers can help with the pain.

After a few hours, you will be able to move around but you mustn’t overdo it. You’ll be able to resume your normal activities but intense activity must be avoided for a few weeks and compression stockings must be worn for up to three weeks after the procedure. You can usually return to work within a few days.

Who can have this done?

This procedure is particularly suitable for the treatment of multiple and recurrent varicose veins that may be difficult to treat with standard phlebectomy.